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LIFESPAN PSYCHIATRIC CARE NPI 1952828790


NPI Information

NPI: 1952828790
Provider Name: LIFESPAN PSYCHIATRIC CARE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
4800 LINTON BLVD STE D502A
DELRAY BEACH, FL
ZIP 33445
Phone: (561) 808-7205
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LIFESPAN PSYCHIATRIC CARE is a psychiatric/mental health nurse practitioner in Delray Beach, FL. LIFESPAN PSYCHIATRIC CARE NPI is 1952828790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4800 LINTON BLVD STE D502A
DELRAY BEACH, FL
ZIP 33445-593
Phone: (561) 808-7205
Fax: (561) 584-6804

The provider's authorized official is Nicholas J Jackson .
The authorized official title is Owner and has the following contact phone number (561) 307-7745.

The enumeration date for this NPI number is 8/23/2017 and was last updated on 8/23/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental Health9294269FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.